Patient Access Representative

About This Role

This role involves greeting patients, managing appointment scheduling and check-in processes, and accurately collecting and verifying patient demographic and insurance information to ensure accurate reimbursement and maintain confidentiality. It also entails point-of-service collections and improving patient satisfaction through professional representation.

Responsibilities

• Greet patients and guests courteously in person or via telephone
• Initiate scheduling appointments or completing the check-in/admission process
• Obtain and verify accurate identification and demographical data for patient records
• Perform point-of-service collections and manage patient registration and admission
• Verify insurance via electronic, telephone, or web applications
• Ensure all required forms are completed and paperwork is gathered and accurate
• Perform financial analysis and inform patients of financial responsibility
• Balance cash drawer daily, prepare deposit slips, and follow closing cash drawer process
• Demonstrate respect and cooperation in all staff relationships and willing to resolve inter-personal conflicts
• Adapt behavior to specific patient populations respecting privacy and adapting communication style

Requirements

• Computer skills for data entry and information retrieval
• Effective verbal and written communication skills
• Proficiency with Windows-style applications and various software packages
• Clerical skills and technical knowledge of healthcare insurance benefits and payor guidelines
• Current knowledge of Federal, State and Local billing regulations
• Ability to effectively present information and respond to patient questions
• Ability to solve practical problems and deal with high stress situations professionally
• Strong interpersonal skills
• Good organizational, time management, and conflict resolution skills
• Excellent decision-making and analytical skills with attention to detail
• Ability to work collaboratively with other departments and exercise sound judgment

Qualifications

• High school diploma or equivalent
• Minimum of 1 year of experience in a hospital, clinic, medical office, business services/revenue cycle, or other customer service-related environment. Experience may include front line registration, financial counseling, banking, retail, or similar roles involving direct customer or patient interaction.

Nice to Have

• Associate's Degree
• Certification in Healthcare Access Manager (CHAM)
• Certification in Healthcare Access Associate (CHAA)
• Certification as a Medical Assistant (or other medical specialty-based certification)

Skills

* Required skills